Role of computerized physician order entry usability in the reduction of prescribing errors

Hamid Reza Peikari, Mohamad Shanudin Zakaria, Norjaya M. Yasin, Mahmood Hussain Shah, Abdelbary Elhissi

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Some hospitals have implemented computerized physician order entry (CPOE) systems to reduce the medical error rates. However, research in this area has been very limited, especially regarding the impact of CPOE use on the reduction of prescribing errors. Moreover, the past studies have dealt with the overall impact of CPOE on the reduction of broadly termed "medical errors", and they have not specified which medical errors have been reduced by CPOE. Furthermore, the majority of the past research in this field has been either qualitative or has not used robust empirical techniques. This research examined the impacts of usability of CPOE systems on the reduction of doctors' prescribing errors. Methods: One hundred and sixty-six questionnaires were used for quantitative data analyses. Since the data was not normally distributed, partial least square path modelling-as the second generation of multivariate data analyses-was applied to analyze data. Results: It was found that the ease of use of the system and information quality can significantly reduce prescribing errors. Moreover, the user interface consistency and system error prevention have a significant positive impact on the perceived ease of use. More than 50% of the respondents believed that CPOE reduces the likelihood of drug allergy, drug interaction, and drug dosing errors thus improving patient safety. Conclusions: Prescribing errors in terms of drug allergy, drug interaction, and drug dosing errors are reduced if the CPOE is not error-prone and easy to use, if the user interface is consistent, and if it provides quality information to doctors.

Original languageEnglish
Pages (from-to)93-101
Number of pages9
JournalHealthcare Informatics Research
Volume19
Issue number2
DOIs
Publication statusPublished - 2013

Fingerprint

Medical Order Entry Systems
Medical Errors
Drug Hypersensitivity
Drug Interactions
Drug interactions
Allergies
Research
User interfaces
Patient Safety
Least-Squares Analysis
Information Systems
Pharmaceutical Preparations
Multivariate Analysis

Keywords

  • CPOE
  • Health Informatics
  • Medical
  • Usability

ASJC Scopus subject areas

  • Health Informatics
  • Biomedical Engineering
  • Health Information Management

Cite this

Role of computerized physician order entry usability in the reduction of prescribing errors. / Peikari, Hamid Reza; Zakaria, Mohamad Shanudin; Yasin, Norjaya M.; Shah, Mahmood Hussain; Elhissi, Abdelbary.

In: Healthcare Informatics Research, Vol. 19, No. 2, 2013, p. 93-101.

Research output: Contribution to journalArticle

Peikari, Hamid Reza ; Zakaria, Mohamad Shanudin ; Yasin, Norjaya M. ; Shah, Mahmood Hussain ; Elhissi, Abdelbary. / Role of computerized physician order entry usability in the reduction of prescribing errors. In: Healthcare Informatics Research. 2013 ; Vol. 19, No. 2. pp. 93-101.
@article{0e2cf02a8e48441c853cf1d3728d5017,
title = "Role of computerized physician order entry usability in the reduction of prescribing errors",
abstract = "Some hospitals have implemented computerized physician order entry (CPOE) systems to reduce the medical error rates. However, research in this area has been very limited, especially regarding the impact of CPOE use on the reduction of prescribing errors. Moreover, the past studies have dealt with the overall impact of CPOE on the reduction of broadly termed {"}medical errors{"}, and they have not specified which medical errors have been reduced by CPOE. Furthermore, the majority of the past research in this field has been either qualitative or has not used robust empirical techniques. This research examined the impacts of usability of CPOE systems on the reduction of doctors' prescribing errors. Methods: One hundred and sixty-six questionnaires were used for quantitative data analyses. Since the data was not normally distributed, partial least square path modelling-as the second generation of multivariate data analyses-was applied to analyze data. Results: It was found that the ease of use of the system and information quality can significantly reduce prescribing errors. Moreover, the user interface consistency and system error prevention have a significant positive impact on the perceived ease of use. More than 50{\%} of the respondents believed that CPOE reduces the likelihood of drug allergy, drug interaction, and drug dosing errors thus improving patient safety. Conclusions: Prescribing errors in terms of drug allergy, drug interaction, and drug dosing errors are reduced if the CPOE is not error-prone and easy to use, if the user interface is consistent, and if it provides quality information to doctors.",
keywords = "CPOE, Health Informatics, Medical, Usability",
author = "Peikari, {Hamid Reza} and Zakaria, {Mohamad Shanudin} and Yasin, {Norjaya M.} and Shah, {Mahmood Hussain} and Abdelbary Elhissi",
year = "2013",
doi = "10.4258/hir.2013.19.2.93",
language = "English",
volume = "19",
pages = "93--101",
journal = "Healthcare Informatics Research",
issn = "2093-3681",
publisher = "Korean Society of Medical Informatics",
number = "2",

}

TY - JOUR

T1 - Role of computerized physician order entry usability in the reduction of prescribing errors

AU - Peikari, Hamid Reza

AU - Zakaria, Mohamad Shanudin

AU - Yasin, Norjaya M.

AU - Shah, Mahmood Hussain

AU - Elhissi, Abdelbary

PY - 2013

Y1 - 2013

N2 - Some hospitals have implemented computerized physician order entry (CPOE) systems to reduce the medical error rates. However, research in this area has been very limited, especially regarding the impact of CPOE use on the reduction of prescribing errors. Moreover, the past studies have dealt with the overall impact of CPOE on the reduction of broadly termed "medical errors", and they have not specified which medical errors have been reduced by CPOE. Furthermore, the majority of the past research in this field has been either qualitative or has not used robust empirical techniques. This research examined the impacts of usability of CPOE systems on the reduction of doctors' prescribing errors. Methods: One hundred and sixty-six questionnaires were used for quantitative data analyses. Since the data was not normally distributed, partial least square path modelling-as the second generation of multivariate data analyses-was applied to analyze data. Results: It was found that the ease of use of the system and information quality can significantly reduce prescribing errors. Moreover, the user interface consistency and system error prevention have a significant positive impact on the perceived ease of use. More than 50% of the respondents believed that CPOE reduces the likelihood of drug allergy, drug interaction, and drug dosing errors thus improving patient safety. Conclusions: Prescribing errors in terms of drug allergy, drug interaction, and drug dosing errors are reduced if the CPOE is not error-prone and easy to use, if the user interface is consistent, and if it provides quality information to doctors.

AB - Some hospitals have implemented computerized physician order entry (CPOE) systems to reduce the medical error rates. However, research in this area has been very limited, especially regarding the impact of CPOE use on the reduction of prescribing errors. Moreover, the past studies have dealt with the overall impact of CPOE on the reduction of broadly termed "medical errors", and they have not specified which medical errors have been reduced by CPOE. Furthermore, the majority of the past research in this field has been either qualitative or has not used robust empirical techniques. This research examined the impacts of usability of CPOE systems on the reduction of doctors' prescribing errors. Methods: One hundred and sixty-six questionnaires were used for quantitative data analyses. Since the data was not normally distributed, partial least square path modelling-as the second generation of multivariate data analyses-was applied to analyze data. Results: It was found that the ease of use of the system and information quality can significantly reduce prescribing errors. Moreover, the user interface consistency and system error prevention have a significant positive impact on the perceived ease of use. More than 50% of the respondents believed that CPOE reduces the likelihood of drug allergy, drug interaction, and drug dosing errors thus improving patient safety. Conclusions: Prescribing errors in terms of drug allergy, drug interaction, and drug dosing errors are reduced if the CPOE is not error-prone and easy to use, if the user interface is consistent, and if it provides quality information to doctors.

KW - CPOE

KW - Health Informatics

KW - Medical

KW - Usability

UR - http://www.scopus.com/inward/record.url?scp=84880067960&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84880067960&partnerID=8YFLogxK

U2 - 10.4258/hir.2013.19.2.93

DO - 10.4258/hir.2013.19.2.93

M3 - Article

VL - 19

SP - 93

EP - 101

JO - Healthcare Informatics Research

JF - Healthcare Informatics Research

SN - 2093-3681

IS - 2

ER -